A nurse is preparing to insert an indwelling urinary catheter for a client.
Which of the following actions should the nurse take first?
A.
Attach a prefilled syringe to the catheter inflation hub.
B.
Position the sterile drape leaving the perineum exposed.
C.
Cleanse the client’s meatus with antiseptic solution.
D.
Lubricate the catheter with water-soluble gel.
The correct answer is:
B. Position the sterile drape leaving the perineum exposed
Explanation:
Before performing the insertion of an indwelling urinary catheter, the nurse should first set up a sterile field, including positioning the sterile drape correctly. The drape should cover the area around the perineum to maintain sterility while leaving the perineum exposed for the procedure. Properly positioning the sterile drape ensures that the area remains sterile throughout the procedure and helps prevent contamination.
Here’s why the other actions are not the first step:
- A. Attach a prefilled syringe to the catheter inflation hub: This should be done after the catheter is inserted into the bladder and the placement is confirmed, not before the procedure starts.
- C. Cleanse the client’s meatus with antiseptic solution: This step is performed after positioning the sterile drape and before inserting the catheter to ensure the area is disinfected.
- D. Lubricate the catheter with water-soluble gel: Lubrication is done after the drape is in place and the meatus is cleansed to reduce friction during insertion.
Correct answer: B